MIDWEST REGENERATIVE MEDICINE CENTER PC (NPI# 1245791763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245791763 |
| Entity Type | Organization |
| Organization Name | MIDWEST REGENERATIVE MEDICINE CENTER PC |
| Practice Address |
603 N Main St Warren MN 56762-1122 |
| Practice Telephone | 2187456655 |
| Mailing Telephone | 2187456655 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | DR. MARK PEDERSON (OWNER) |
| Authorized Official Telephone | 2187456655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
603 N MAIN ST |
| City | WARREN |
| State | MN |
| Zip Code | 56762-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436852 | Addison Allen Knutson | Chiropractor | 603 N Main St, Warren, MN 56762-1122 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881820322 | Marshall County Social Services | Case Manager/Care Coordinator | 208 E Colvin Ave., Suite 14, Warren, MN 56762 | 2009-06-10 |
| 1215045604 | Mark Alan Pederson | Chiropractor | 603 N Main Street, Warren, MN 56762 | 2006-08-27 |
| 1598875171 | Family Chiropractic of Warren Inc | Chiropractor | 603 N Main Street, Warren, MN 56762 | 2006-08-30 |
| 1336151257 | Michelle Marie Woinarowicz | Internal Medicine | 109 S Minnesota St, North Valley Health Center Clinic, Warren, MN 56762 | 2006-08-12 |
| 1003092206 | Anita Whalen | Dentist | 508 North Minnesota Street, Warren, MN 56762-0093 | 2008-01-17 |
| 1871508481 | Warren Pharmacy Inc | Pharmacy | 103 W Johnson Ave, Warren, MN 56762-1102 | 2006-07-30 |
| 1699730036 | Stacey Jean Bienek | Optometrist | 205 W Johnson Ave, Suite 1, Warren, MN 56762-1118 | 2006-04-19 |
| 1053739698 | Lone Oak Family Dentistry | Dentist | 205 W Johnson Ave, Ste. 3, Warren, MN 56762-1118 | 2014-04-01 |
| 1447583778 | Lone Oak Family Dentistry | Exclusive Provider Organization | 205 W Johnson Ave, Suite 3, Warren, MN 56762-1118 | 2009-09-18 |
| 1891995460 | Warren Eye Care, P.C. | Optometrist | 205 W Johnson Ave, Suite #1, Warren, MN 56762-1118 | 2007-07-23 |
| Find all providers in zip 56762 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1659631265 | Premier Health and Wellness Center | Clinic/Center | 30801 Schoenherr Rd, Warren, MI 48088-6857 | 2012-05-17 |
| 1992899058 | Metropolitn Visiting Physicians, Pllc | Clinic/Center | 4513 E 9 Mile Rd, Warren, MI 48091-2591 | 2006-10-03 |
| 1366436511 | South Macomb Internists, P.C. | Clinic/Center | 11900 E 12 Mile Rd, Suite 300, Warren, MI 48093-3400 | 2005-09-02 |
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| 1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
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| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.